WOMENS-HEALTH Messages for March, 2001: Re: 6 months pregnant and recurring Bacterial Vaginosis

Re: 6 months pregnant and recurring Bacterial Vaginosis

From: Lynn D. Montgomery, MD (anonymous@obgyn.net)
Wed, 28 Mar 2001 21:24:54 -0600 (CST)

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In reply to: Marcy: "6 months pregnant and recurring Bacterial Vaginosis"

At Wed, 28 Mar 2001, Marcy wrote: >
>I'm 24 weeks pregnant and I'm on my third round of 7-day treatments for
>BV. For almost 4 weeks now I've been taking 750mg of Flagyl and it is
>still not clearing up. I've also had a yeast infection for the same
>amount of time. I'm high risk because of a previous cervical cone so my
>Dr. is watching my infection closely. Here's my questions: Could I
>possibly have this until delivery? Am I at an increased risk of preterm
>labor? I had no trouble with infections with my other 2 pregnancies,
>just don't understand why this one is a problem. Dr. doesn't seem real
>concerned. What's your opinion? Thanks.
>
>--
>Marcy
>

Marcy, My first concern is how the diagnosis of BV is being arrived at. I hope that it is from a culture and not just a visual diagnosis or that made by looking at the discharge under a microscope. Second, if it is truly BV proven by culture, I would want to make sure that the bacteria is sensitive to Flagyl rather than resistant. Fourth, unless BV is symptomatic to the patient, there is no indication to treat it. It has been shown that aysmptomatic BV is not a risk for preterm labor... Lynn

--
Lynn D. Montgomery, MD
Director, Maternal-Fetal Medicine
Rocky Mountain Perinatal Center
Missoula, Montana

**Note:  Opinions expressed here are for educational purposes only and, as such, do not constitute a physician-patient relationship.  This information is not intended to supplant the need for you to consult with your physician prior to choosing therapeutic options and/or interventions.

**Private e-mails cannot be entertained due to time constraints, consequently no private e-mails will receive a response.

**Thank you for your understanding ;-)

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In reply to: Marcy: "6 months pregnant and recurring Bacterial Vaginosis"

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